Shanley Swanson, MSW LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-11582 Issued in MT

Practice address

35401 Mission Dr
Saint Ignatius, MT 59865-7791

Phone

(406) 745-3525

NPI assigned

Mar 13, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shining Valley LLC

  • Mental Health Counselor
  • Arlee, MT
  • NPI 1619516903
  Medicare reassignment NPD Authorized official
• Confederated Salish and Kootenai Tribes of the Flathead Reservation

  • Federally Qualified Health Center (FQHC)
  • Saint Ignatius, MT
  • NPI 1952402208
  Medicare reassignment NPD
• St. Lukes Community Hospital

  • Rural Health Clinic/Center
  • St. Ignatius, MT
  • NPI 1306911169
  Medicare reassignment NPD
• Confederated Salish & Kootenai Tribes of the Flathead Reservation

  • Community/Retail Pharmacy
  • Saint Ignatius, MT
  • NPI 1669502316
  NPD
• Embodiment Therapy LLC

  • Clinical Social Worker
  • Ronan, MT
  • NPI 1649816588
  NPD
• St Lukes Community Hospital

  • Certified Registered Nurse Anesthetist
  • Ronan, MT
  • NPI 1518663608
  NPD
• St Lukes Community Hospital

  • Rural Health Clinic/Center
  • Polson, MT
  • NPI 1548612096
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1326464397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "ARLEE",
            "state": "MT",
            "postal_code": "598210033",
            "telephone_number": "406-210-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35401 MISSION DR",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598657791",
            "telephone_number": "406-745-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Ronan",
            "state": "MT",
            "postal_code": "598642600",
            "country_code": "US",
            "telephone_number": "406-676-3600",
            "fax_number": "406-676-3738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72949 Rice Ln",
            "address_purpose": "LOCATION",
            "city": "Arlee",
            "state": "MT",
            "postal_code": "598219348",
            "country_code": "US",
            "telephone_number": "406-210-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "SHANLEY",
        "credential": "MSW LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-11582",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "3402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326464397",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jera Lynn Stewart, PH.D.
• Rachel Lee Stock, R.N.
• Brenda Marie Strysko, CNM, FNP
• Sunburst Community Service Organization
• Beverly Swaney
• Randy Joseph Trudeau, PA-C
• Jennifer Van Wagoner, DMD
• David J Vaughan, FNP
• Roberta Michelle Watson, RN
• Sonya Rae Weaving, RN

• Clinical Social Worker in Saint Ignatius, MT
• Providers in Saint Ignatius, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.